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NPI Code Detail

MEDICARE: JANE LITWAK

MEDICARE:   JANE  LITWAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835C0205XCritical Care PharmacistS023172AZ

General Provider Information

NPI Number : 1679428502
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE LITWAK
Provider Business Mailing Address
First Line : 301 W MCLELLAN BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-1130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 E DUNLAP AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2825
Country : US
Telephone Number : 602-780-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ JANE LITWAK ” Practice Location

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